Evidence map›Paper›PMID 38481318›Full record

Observational studyChiropractic & manual therapies2024

Assessing adverse events associated with chiropractic care in preschool pediatric population: a feasibility study.

Anne Dolbec, Chantale Doucet, Katherine A Pohlman, Stéphane Sobczak, Isabelle Pagé

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Chiropractic & manual therapies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05409859 (Assessing Adverse Events Associated With Manual Therapies in Preschool Pediatric Population), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.8field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05409859 completednot on this map

Assessing Adverse Events Associated With Manual Therapies in Preschool Pediatric Population: a Feasibility Study

TypeobservationalSponsorUniversité du Québec à Trois-RivièresRan2021 to 2022Enrolled74ConditionsAdverse EventArmsManual therapies
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Anne DolbecDépartement d'anatomie, Université du Québec à Trois-Rivières, 3351 Boul. des Forges, G8Z 4M3, Trois-Rivières, Québec, Canada.
Chantale DoucetDépartement de chiropratique, Université du Québec à Trois-Rivières, 3351 Boul. des Forges, G8Z 4M3, Trois-Rivières, Québec, Canada.
Katherine A PohlmanResearch Center, Parker University, 2540 Walnut Hill Lane, 75229, Dallas, TX, USA.
Stéphane SobczakDépartement d'anatomie, Université du Québec à Trois-Rivières, 3351 Boul. des Forges, G8Z 4M3, Trois-Rivières, Québec, Canada.
Isabelle PagéDépartement de chiropratique, Université du Québec à Trois-Rivières, 3351 Boul. des Forges, G8Z 4M3, Trois-Rivières, Québec, Canada. Isabelle.Page@uqtr.ca.ORCID 0000-0002-7175-0402
Université du Québec à Trois-Rivières · CACentre for Interdisciplinary Research in Rehabilitation · CAParker University · US

Funding

Fondation Chiropratique du Québec Fondation Chiropratique du QuébecFonds de Recherche du Québec - Santé 288491Mitacs Mitacs
6 · The paper itself

Abstract

backgroundManual therapies are commonly used by healthcare professionals when caring for children. However, few prospective studies have evaluated their adverse events (AEs). This study aims to assess the feasibility of a pragmatic prospective study aiming to report the immediate and delayed (48-hours post-treatment) AEs associated with manual therapies in children aged 5 or younger. Preliminary data on AEs frequency are also reported.

methodsBetween July 2021 and March 2022, chiropractors were recruited through purposive sampling and via a dedicated Facebook group for Quebec chiropractors interested in pediatrics. Legal guardians of patients aged 5 or younger were invited to fill out an online information and consent form. AEs were collected using the SafetyNET reporting system, which had been previously translated by the research team. Immediate AEs were collected through a questionnaire filled out by the legal guardian immediately after the treatment, while delayed AEs were collected through a questionnaire sent by email to the legal guardian 48 h after the treatment. Feasibility was assessed qualitatively through feedback from chiropractors and quantitatively through recruitment data.

resultsOverall, a total of 28 chiropractors expressed interest following the Facebook publication, and 5 participated. An additional two chiropractors were enrolled through purposive sampling. In total, 80 legal guardians consented to their child's participation, and data from 73 children were included for the analysis of AEs. At least one AE was reported in 30% of children (22/73), and AEs were mainly observed immediately following the treatment (16/22). The most common AEs were irritability/crying (11 children) or fatigue/tiredness (11 children). Feasibility analysis demonstrated that regular communication between the research team and clinicians, as well as targeting clinicians who showed great interest in pediatrics, were key factors for successful research.

conclusionResults suggest that it is feasible to conduct a prospective pragmatic study evaluating AEs associated with manual therapies in private practices. Direct communication with the clinicians, a strategic clinicians' recruitment plan, and the resulting administrative burden should be considered in future studies. A larger study is required to confirm the frequency of AEs reported in the current study.

trial registrationClinicalTrials.gov., NCT05409859, Registered on June 3 2022. https://clinicaltrials.gov/study/NCT05409859 .

Indexed as

ChiropracticMusculoskeletal ManipulationsChild, PreschoolFeasibility StudiesHumansProspective StudiesResearch DesignManual therapiesPediatricsSafetySide effectsSpinal manipulationsSpinal mobilizations

Identifiers

PMID38481318
PMCPMC10938841
OpenAlexW4392762024

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.